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Related Experiment Video

Updated: May 15, 2026

Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy
05:25

Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy

Published on: October 24, 2025

Transoral robotic total laryngectomy.

Richard V Smith1, Bradley A Schiff, Catherine Sarta

  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York 10467, USA. rsmith@montefiore.org

The Laryngoscope
|January 10, 2013
PubMed
Summary

Transoral robotic surgery (TORS) total laryngectomy is a new, feasible procedure for head and neck cancer. This minimally invasive approach shows promise for improved wound healing and swallowing function in salvage laryngectomy patients.

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Area of Science:

  • Head and Neck Surgery
  • Minimally Invasive Surgery
  • Robotic Surgery

Background:

  • Minimally invasive surgery is standard in many fields, including head and neck.
  • Transoral surgery (laser or robotic) is used for pharyngeal and laryngeal cancers.
  • Current transoral approaches do not allow for total laryngectomy reconstruction.

Purpose of the Study:

  • To present the first series of transoral robotic surgery (TORS) total laryngectomies.
  • To evaluate the feasibility and outcomes of TORS total laryngectomy.

Main Methods:

  • Multinational, multi-institutional prospective consecutive case series.
  • Procedure developed in cadaver labs and applied to patients requiring total laryngectomy.
  • Included patients with recurrent laryngeal cancer or post-therapeutic organ dysfunction.

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Last Updated: May 15, 2026

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Published on: October 24, 2025

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
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Main Results:

  • TORS total laryngectomy was successful in 5 of 7 patients.
  • Two patients experienced postoperative fistulae.
  • All patients were cancer-free and achieved oral swallowing without gastrostomy supplementation.

Conclusions:

  • Transoral robotic surgery total laryngectomy is feasible and teachable.
  • Potential benefits include improved wound healing and functional outcomes for salvage laryngectomy.
  • This extends the applications of robotic surgery in head and neck cancer care.